Provider Demographics
NPI:1508159187
Name:ELDERCARE CONSULTANTS HOME CARE
Entity Type:Organization
Organization Name:ELDERCARE CONSULTANTS HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:SMITH
Authorized Official - Last Name:AMADO
Authorized Official - Suffix:
Authorized Official - Credentials:NHA
Authorized Official - Phone:401-438-4456
Mailing Address - Street 1:40 IRVING AVE
Mailing Address - Street 2:
Mailing Address - City:EAST PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02914-2301
Mailing Address - Country:US
Mailing Address - Phone:401-435-3331
Mailing Address - Fax:401-438-0023
Practice Address - Street 1:40 IRVING AVE
Practice Address - Street 2:
Practice Address - City:EAST PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02914-2301
Practice Address - Country:US
Practice Address - Phone:401-435-3331
Practice Address - Fax:401-438-0023
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNITED METHODIST ELDER CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-05-16
Last Update Date:2011-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIHNC02357251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health